| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $204.17 | $371.54 | $371.54 | |
Aetna
| Professional | $173.78 | $199.53 | $223.87 | |
CareSource
| Facility | $338.84 | $338.84 | $338.84 | |
CareSource
| Professional | $295.12 | $295.12 | $295.12 | |
Cigna
| Facility | $208.93 | $478.63 | $741.31 | |
Cigna
| Professional | $1,202.26 | $1,202.26 | $1,202.26 | |
Highmark BCBS
| Facility | $467.74 | $467.74 | $467.74 | |
United
| Facility | $147.91 | $147.91 | $147.91 | |
United
| Professional | $104.71 | $112.20 | $309.03 |